340B Specialist

Position Overview
The 340B Specialist supports the implementation, maintenance, and monitoring of The Center’s 340B Program to ensure compliance with HRSA guidelines and organizational policies. This role works closely with the Director of 340B Strategy & Revenue Optimization and internal departments to perform claim audits, verify patient eligibility, maintain accurate documentation, and assist with contract pharmacy and wholesaler coordination.

 

In addition to 340B-related responsibilities, this position will be cross-trained in medical billing to provide support as needed, ensuring continuity of operations and contributing to overall clinic revenue accuracy.

 

This position demands a high level of cultural competency of the unique needs of the LGBTQIA++ community, communities of color, and other marginalized and/or vulnerable populations.

 

Key Responsibilities
• Assist in the daily operations of the 340B Program, ensuring program integrity and compliance with federal, state, and internal regulations.
• Conduct audits of 340B claims to ensure compliance with eligibility and billing criteria.
• Support the reconciliation of drug utilization, billing records, and third-party administrator data.
• Communicate with contract pharmacies, vendors, and internal teams to resolve discrepancies and maintain accurate program information.
• Monitor 340B software and tracking tools, reporting any issues or inconsistencies to leadership.
• Maintain documentation for audits, compliance reviews, and HRSA readiness.
• Support the review of invoices, purchase orders, and inventory tracking to ensure proper 340B pricing and program utilization.
• Participate in monthly and quarterly audits of the program and assist in implementing corrective actions as needed.
• Assist with maintaining documentation of policies, procedures, and program updates.
• Stay current with 340B program updates, including HRSA guidance and Apexus Best Practices.
• Provide cross-coverage for medical billing functions, including claim entry, follow-up, and payment reconciliation, as assigned by the Director.
• Collaborate with other financial team members to promote effective workflows and problem resolution.
• Attend team meetings and training sessions as needed to support 340B and billing operations.
• Uphold confidentiality and compliance standards at all times.

 

Knowledge & Skills
• Capacity to function independently with little supervision.
• Basic knowledge of medical billing and 340B terminology.
• Proficient with EMR systems and Microsoft Office applications.
• Exercises consistently sound judgment.
• Strong customer service and problem-solving skills.
• Demonstrates cultural sensitivity.
• Seamlessly handles changing priorities.
• Ability to organize priorities and perform multiple tasks simultaneously and efficiently.
• Promotes a positive, collaborative work environment and culture.
• Detail Oriented

 

Qualifications
Minimum Qualifications
• Minimum of one (1) year of experience in medical billing or 340B program support
Preferred Qualifications
• Experience with both medical billing and 340B programs is strongly preferred.

 

Educational/Licensure Requirements
Educational Requirements
• High school diploma or GED required
• Associate’s or bachelor’s degree in healthcare, finance, or a related field preferred
Licensure Requirements
• Apexus 340B ACE Certification preferred or ability to obtain within 6 months of hire.

 

Physical Requirements
The ability to:
• Remain seated and work at a computer for extended periods. 
• Use a computer, keyboard, mouse, and telephone regularly. 
• Communicate effectively in person, by telephone, and via video conferencing. 
• Occasionally stand, walk, bend, reach, and lift office materials. 
• Lift and carry items weighing up to 10–25 pounds occasionally. 
• Travel locally or overnight, if required by the position. 
• Perform the essential functions of the job with or without reasonable accommodation.